Physical Therapist
LICENSED PHYSICAL THERAPIST ASSISTANT
160005178
NOT RENEWED
N
LUCAS
N
STEPHEN
LUCAS N STEPHEN
05/11/2009
09/08/2017
09/30/2019
SCHAUMBURG
IL
60173
COOK
Y
01/13/2020
2018009219
Suspension
11/30/2018
Failure to file and/or pay Illinois state income taxes.